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BEACON MEDICAL GROUP, INC.
NPI 1033161617
Family Medicine in Mishawaka, IN

Active since May 16, 2006
4630 VISTULA RD, MISHAWAKA, IN 46544(574) 647-1900(574) 254-7222 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2025, Aug 30, 2016 (2 updates tracked since 2016).

About Beacon Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON MEDICAL GROUP, INC. (NPI 1033161617), doing business as Beacon Medical Group Schwartz - Wiekamp, is a healthcare organization registered as a family medicine in Mishawaka, Indiana and active in the NPI registry since May 2006. The organization lists Jeffrey Costello, Vp-cfo, as its authorized official.

NPPES Registry Identity

NPI1033161617
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACON MEDICAL GROUP, INC.
Location Address4630 VISTULA RDMishawaka, IN 46544-4000
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-1840
Phone(574) 647-1900
Fax(574) 254-7222
Organization SubpartNo
Authorized OfficialJeffrey CostelloVp-cfo · (574) 647-3549
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1033161617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01058339A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
4630 VISTULA RD, Mishawaka, IN 46544
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Other Names 1

Doing Business AsBeacon Medical Group Schwartz - Wiekamp

Other Identifiers 1

Medicaid200130710AIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER ANNE PENNINGTON D.O.
Family Medicine
4630 VISTULA RD
MISHAWAKA, IN 46544
St. Joseph County (574) 647-1900
MRS. HELEN MARIE NORRIS NP-C
Nurse Practitioner (Adult Health)
4630 VISTULA RD
MISHAWAKA, IN 46544
St. Joseph County (574) 318-4291
MR. DANIEL WALTER ABEL M.D.
Family Medicine
4630 VISTULA RD
MISHAWAKA, IN 46544
St. Joseph County (574) 647-1900
JAMIE THACKER
Nurse Practitioner (Family)
4630 VISTULA RD
MISHAWAKA, IN 46544
St. Joseph County (574) 647-1900
DR. JOSEPH MICHAEL CARUSO M.D.
Family Medicine
4630 VISTULA RD
MISHAWAKA, IN 46544
St. Joseph County (574) 647-1900
AROBA SADAF DO
Family Medicine
4630 VISTULA RD
MISHAWAKA, IN 46544
St. Joseph County (574) 647-1900
RYAN BONEK M.D.
Family Medicine
4630 VISTULA RD
MISHAWAKA, IN 46544
St. Joseph County (574) 647-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Medical Group, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1033161617. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Beacon Medical Group Schwartz - Wiekamp.

Where is Beacon Medical Group, Inc. located?

Beacon Medical Group, Inc. is located at 4630 Vistula Rd, Mishawaka, IN 46544. The listed phone number is (574) 647-1900.

What is Beacon Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Beacon Medical Group, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Beacon Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beacon Medical Group, Inc. was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.